The out-of-pocket burden of chronic diseases: the cases of Belgian, Czech and German older adults
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F62156489%3A43110%2F21%3A43919676" target="_blank" >RIV/62156489:43110/21:43919676 - isvavai.cz</a>
Result on the web
<a href="https://doi.org/10.1186/s12913-021-06259-w" target="_blank" >https://doi.org/10.1186/s12913-021-06259-w</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1186/s12913-021-06259-w" target="_blank" >10.1186/s12913-021-06259-w</a>
Alternative languages
Result language
angličtina
Original language name
The out-of-pocket burden of chronic diseases: the cases of Belgian, Czech and German older adults
Original language description
Background: Out-of-pocket payments have a diverse impact on the burden of those with a higher morbidity or the chronically ill. As the prevalence of chronic diseases increases with age, older adults are a vulnerable group. The paper aims to evaluate the impact of chronic diseases on the out-of-pocket payments burden of the 50+ populations in Belgium, the Czech Republic and Germany. Methods: Data from the sixth wave of the Survey of Health, Ageing and Retirement in Europe is used. A two-part model with a logit model in the first part and a generalised linear model in the second part is applied. Results: The diseases increasing the burden in the observed countries are heart attacks, high blood pressure, cancer, emotional disorders, rheumatoid arthritis and osteoarthritis. Reflecting country differences Parkinson's disease and its drug burden is relevant in Belgium, the drugs burden related to heart attack and outpatient care burden to chronic kidney disease in the Czech Republic and the outpatient care burden of cancer and chronic lung disease in Germany. In addition, we confirm the regressive character of out-of-pocket payments. Conclusions: We conclude that the burden is not equitably distributed among older adults with chronic diseases. Identification of chronic diseases with a high burden can serve as a supplementary protective feature.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
50902 - Social sciences, interdisciplinary
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2021
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
BMC Health Services Research
ISSN
1472-6963
e-ISSN
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Volume of the periodical
21
Issue of the periodical within the volume
17 March
Country of publishing house
GB - UNITED KINGDOM
Number of pages
13
Pages from-to
239
UT code for WoS article
000630347700003
EID of the result in the Scopus database
2-s2.0-85102707882